实施障碍和促进者:围膜刺激性接触性皮肤炎的基于证据的实践的可持续性:一项描述性的定性研究
Nuo Zhang1, Qiuwen Zhang1, Cong Li2
1School of Nursing, Peking University, Beijing, China.
International journal of nursing sciences
|June 18, 2025
概括
定期更新证据和调整实践是围膜刺激性接触性皮肤炎 (PICD) 护理中可持续的基于证据的实践 (EBP) 的关键. 解决实施障碍,确保成功融入临床工作流程.
科学领域:
- 医疗保健 实施 科学 科学
- 改善临床实践的改善
- 护理研究 护理研究
背景情况:
- 围膜刺激性接触性皮肤炎 (PICD) 需要有效的基于证据的实践 (EBP) 来实现可持续的管理.
- 实施科学框架,如实施研究综合框架 (CFIR),对于理解EBP采用至关重要.
- 识别障碍物和促进因素对于优化临床环境中的EBP至关重要.
研究的目的:
- 调查影响PICD可持续实施EBP的障碍和促进因素.
- 应用CFIR框架来分析影响尿道护理EBP可持续性的因素.
- 确定可操作的见解,以加强EBP在常规临床护理中的整合.
主要方法:
- 针对17次与护士进行的深入采访进行了有针对性的内容分析.
- 实施研究综合框架 (CFIR) 指导了实施结构的确定.
- 每个构造的价值和大小都被评分,以确定它们的影响.
主要成果:
- 在5个CFIR领域中确定了19个因素;16个是障碍物,3个是促进者.
- 关键障碍包括证据更新的延迟,干预的复杂性和与临床实践的不兼容性.
- 促进者包括定期沟通,主要支持和积极的文化氛围.
结论:
- 定期更新证据对于EBP的可持续性至关重要.
- 研究人员和从业人员之间的一致反循环对于EBP适应至关重要.
- EBP的配方必须优先考虑与临床实践的兼容性,以避免工作流程中断.
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